目的探讨巨大子宫肌瘤的CT征象,提高其CT的诊断水平。方法选择手术和病理证实的最大径≥15 cm的巨大子宫肌瘤16例进行回顾性CT分析,年龄32~64岁,全部病例均行平扫加增强扫描。结果肿瘤最大径在15~20 cm 9例,20~25 cm 2例,25~30 cm 2例,30 cm以上3例。浆膜下9例,阔韧带2例,肌壁间5例。2例CT平扫和增强密度均匀,与子宫肌等密度;4例平扫密度均匀,增强后明显不均匀;10例平扫和增强均不均匀,内见多形性低密度影,其中8例有“复印”征。结论巨大子宫肌瘤有特征性CT表现,CT对巨大子宫肌瘤有较高的诊断价值。 Objective To investigate the CT signs of huge uterine fibroids and improve the diagnostic value of CT. Methods Twenty-six cases of giant uterine fibroids with the largest diameter ≥15 cm confirmed by surgery and pathology were retrospectively analyzed by CT, aged 32-64 years. All patients underwent plain scan and contrast-enhanced scan. Results The maximum diameter of tumor was 15-20 cm in 9 cases, 20-25 cm in 2 cases, 25-30 cm in 2 cases and 30 cm in 3 cases. Subserosal in 9 cases, 2 cases of broad ligament, muscle wall in 5 cases. 2 cases of CT scan and enhancement of density, and the density of the uterine muscle; plain density of 4 cases, after the enhancement was significantly uneven; 10 cases of uneven enhancement and enhancement, see the pleomorphic low-density shadow, of which 8 Examples of “copy ” sign. Conclusion The huge uterine fibroids have the characteristic CT manifestations, CT has the high diagnosis value to the giant uterine fibroids.